Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/285300 
Year of Publication: 
2022
Citation: 
[Journal:] Health Economics Review [ISSN:] 2191-1991 [Volume:] 12 [Issue:] 1 [Article No.:] 64 [Year:] 2022 [Pages:] 1-15
Publisher: 
Springer, Heidelberg
Abstract: 
Background: Despite the current undersupply of cochlear implants (CIs) with simultaneously increasing indication, CI implantation numbers in Germany still are at a relatively low level. Methods: As there are hardly any solid forecasts available in the literature, we develop a System Dynamics model that forecasts the number and costs of CI implantations in adults for 40 years from a social health insurance (SHI) perspective. Results: CI demand will grow marginally by demographic changes causing average annual costs of about 538 million €. Medical-technical progress with following relaxed indication criteria and patients' increasing willingness for implantation will increase implantation numbers signifcantly with average annual costs of 765 million €. Conclusion: CI demand by adults will increase in the future, thus will the costs for CI supply. Continuous research and development in CI technology and supply is crucial to ensure long-term fnancing of the growing CI demand through cost-reducing innovations.
Subjects: 
Cochlear implant
Simulation
System dynamics
Health insurance
Cost
Persistent Identifier of the first edition: 
Creative Commons License: 
cc-by Logo
Document Type: 
Article

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